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Risk factors of cardiovascular disease and its recommendations in Pakistani context
Rubina Barolia1, Amber Hussain Sayani1
1Aga Khan University School of Nursing and Midwifery Karachi, Pakistan.
Insights
Cardiovascular disease (CVD) burden is rising in low-income nations like Pakistan, demanding urgent focus on modifiable risk factors. Prevention strategies are crucial to combat increasing CVD deaths and disability.
Area of Science:
- Public Health
- Cardiology
- Epidemiology
Background:
- Cardiovascular diseases (CVD) are a leading cause of global mortality and disability.
- While CVD death rates have declined in high-income countries, they are increasing in low- and middle-income countries (LMICs), which bear 80% of the burden.
- Pakistan, a LMIC, faces a growing CVD crisis exacerbated by economic and political instability, with insufficient attention to preventive measures.
Purpose of the Study:
- To review major modifiable cardiovascular disease risk factors in Pakistan.
- To highlight existing preventive services for cardiovascular diseases in the country.
- To propose effective strategies for promoting risk-factor reduction at a population level.
Main Methods:
- Literature review of major modifiable cardiovascular disease risk factors in Pakistan.
- Analysis of available preventive services and public health initiatives.
- Synthesis of evidence to propose population-level prevention strategies.
Main Results:
- Significant increase in cardiovascular disease burden in Pakistan, disproportionately affecting LMICs.
- Key modifiable risk factors include diet, physical inactivity, and tobacco use.
- Limited public health infrastructure and resources hinder effective prevention services.
Conclusions:
- Urgent, practical interventions are needed to address cardiovascular disease risk factors in Pakistan.
- Enhanced understanding and public awareness of diet, physical activity, and tobacco control are essential.
- Policy-level changes and strengthened health systems are critical for population-level cardiovascular disease prevention.
Abstract:
Cardiovascular diseases possess a major cause for fatality and disability the world over. Since last several decades, the rates of cardiovascular diseases-related deaths have decreased in a number of high-income countries but increased in low- and middle-income countries with around 80% of the burden. Despite the seriousness of cardiovascular diseases in low- and middle-income countries, minimal attention is given to the prevention of cardiovascular diseases risk factors in South Asia, particularly in Pakistan. In addition, economic and political instability is accelerating the rates of cardiovascular diseases in the country. Practical efforts are required to enhance the understanding of cardiovascular diseases risk factors such as diet, physical activity, and tobacco-control policies to support prevention and control at the population level. This paper reviews the major modifiable risk factors in Pakistan, highlights available preventive services, and presents the most likely ways to promote risk-factor reduction.
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